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General NPI Number Information
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NPI Number | 1952835282
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Entity Type | Organization
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Legal Business Name | DR. JOSE FLORES D.D.S INC.
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Dates
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Enumeration Date | 04/13/2017
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Last Update Date | 04/13/2017
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Provider Practice Location Address
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Address Line | 11510 DOWNEY AVE
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City | DOWNEY
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State | CA
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Zip | 90241
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Country | US
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Telephone | 562-862-2600
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Fax |
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Provider Business Mailing Address
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Address Line | 11510 DOWNEY AVE
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City | DOWNEY
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State | CA
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Zip | 90241-4937
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Country | US
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Telephone | 562-862-2600
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. JOSE L FLORES
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Credential | DDS
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Telephone | 562-862-2600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number | 33577
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License Number State | CA
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